sa Y TE TiNH KON TUMPHONG NGHI:E:P vu Y

CONG HOA. XA HOI CHU NGHiA VIET NAM. . .DQc l~p - T\f do - Hanh phuc

Kon Tum, ngay 26 thang 12 nam 2017

Plutu TRINH'Vi~c cong b3 du di~u ki~n di~u tr] nghien cac chfit dang thu3c phi~n b~ng

thu3c thay th~ tren Trang thong tin di~n tir SO'Y t~

Kinh trinh: Lanh dao Sa Y tS."

1. Tom t~t n§i dung can trinh:Xem xet, phe duyet va cong b6 tren Trang thong tin di~n ill Sa Y tS co sa du

diSukien diSu tri nghiencac ch~t dang thuoc phien bang thuoc thay thS. Tom t~t nQidung h6 sa nhu sau: ,

1.1. Thong tin v~ CO' sO':_ Ten co sa: CO'sa diSu tri Methadone s6 1 thuoc Trung tam Phong, chong

HIV/AIDS tinh Kon Tum._Dia chi: S6 55 Phan KS Binh, Phuong Ngo May, thanh ph6 Kon Tum, tinh

KonTum._ Nguoi dai di~n co sa: Nguy@nVan Don, Clnrc vu: Truong phong kham

chuyen khoa HIV/AIDS va diSu tri nghien ch~t, kiem Truong co sa diSu triMethadone s6 1. '

- S6 di~ntho:;ti:02603.884.999

- Dia chi email: bsdonkontum@gmail.com

1.2. Thanh ph~n hASO' bao gAm:_Dan dS nghi cong b6 du diSu ki~n diSu tri nghi~n ch~t d:;tngthu6c phi~n

b&ngthu6c thay thS (dung, dfty du nQidung thea mfru quy dinh).,

_QuySt dinh vS vi~c thanh l?p cO'sa diSu tri Methadone s6 1 thuQc Trungtam Phong ch6ng HIV/AIDS tinh Kon Tum (b~msao).

_Danh sach nhan SlJ lam vi~c t:;ticO'sa diSu tri Methadone s6 1 kern bansao van b&ngchuyen mon (dung" ,dftydu nQidung thea m~u quy dinh).

_ Ban ke khai trang thiSt bi cO'sa di@utri Methadone s6 1 (dtng, dfty dunQidung thea m~u quy dinh).

_Sa d6 m~t bfug b6 tri phong lam vi~c cua Co' sa diSu tIi (t:;tiTrung tam Phongch6ng HIV/AIDS tinh).

1

2. Y ki~nd~ xu§t ella ngum trinh: H6 sa dAydu, dung theo quy dinh tai Di~u12 va Khoan 2, Di~u 14 Nghi dinh s6 90/20 16/ND-CP ngay 0117/2016 cua Chinh phuquy dinh v~ viec di~u tri nghien cac eh~t dang thu6e phien bang thu6e thay th~.

3. Y ki~n ella Truong phimg: Dfl kiem tra, ra soat h6 sa dam bao theo dungquy dinh cua thu tuc hanh ehinh "Cong b6 du di~u kien di~u tri nghien eh~t dang thuocphien" diroc ban hanh tai Quyet dinh s6 600IQD-UBND ngay 21111/2017 cua Uy bannhan dan tinh Kon Tum.

Kinh trinh lanh dao So' y t~ xem xet, phe duyet viec cong b6 tren Trang thongtin di~n illSo' Y tS.!.

NGUilITRINH

Pham Th] Thu Phuong

Nui nhiin:- Lanh dao So' Y tS;- Trang Thong tin di~n tir So' Y tS;- Luu: Phong chuyen man.

TRUONGPHONG LANH f)~O Sa Y TE

f)~ng Cong Lan Le Tri Khai

2

·'

UBND TlNH KON TUMSaVTE

S6: 03.1PTN-SYT

CONG HOA xA HOI CHU NGHiA VIET NAM. .. .DQc l~p - TV do- H~nh phuc

Kon Tum, ngay 22 thang 12 ndm 2017

PHIEU TIEP NH~H8 SO' cong bADu di~u ki~n di~u tr] nghi~n chAt d~ng thuAc phi~n bing

thuAc thay th~Ten co sa nop h6 sa: CO'sa di@utri Methadone s6 1 thuoc trung tam phongchong HIV IAIDS tinh Kon Tum.Dia chi: 55 Phan Ke Binh, phuong Ngo May, Kon TumDi~n thor;ti:0935.861.056S6 van ban d@ngh] cua co sa ( neu co): ngay .Sa y te da nhan h6 sa cong b6 du di@ukien di@utri nghien ch~t dang thu6c phienbang thuoc thay the bao gom:1. Dan d@nghi cong b6 Du di@ukien dieu tri nghien ch~t dang thu6c phien bangthuoc thay the.2. Danh sach nhan str lam viec tai co sa dieu tri thay the.3.Quyet dinh v@viec thanh l~p co sa di@utri Methadone s6 1 thuoc trung tamphong chong HIV IAIDS tinh Kon Tum.4.Ban ke khai trang thiet bi cO'sa di@utri Methadone s6 1.5.SO'd6 m~t b~ng b6 tri phong lam vi~c trung tam phong ch6ng HIV/AIDS tinhKon Tum.6.Ban sao b~ng chuyen khoa c~p I, Gi~y chUng nh~n di@utri thay the Nghi~n cacch~t dr;tngthu6c phi~n b~ng thu6c Methadone ,ChUng chi dao tr;tolien tl,lCxacdinh nguai nghi~n rna tuy, di@utri c~t can nghi~n rna tuy: NguySn Van Don7. Ban sao b~g t6t nghi~p trung hQc chuyen nghi~p y S1 da khoa, ChUng chi daotr;tOlien tl,lCchuAn doan va di@utri nghi~n rna tuy, Gi~y chUng nh~ di@utri thaythe Nghi~n cac ch~t dr;tngthu6c phi~n b~ng thu6c Methadone,ChUng chi tienganh B: Le va Thiet Hung.8. Ban sao b~ng t6t nghi~p trung hQc chuyen nghi~p y S1 da khoa, Gi~y chUngnh~n di@utri thay the Nghi~n cac ch~t dr;tngthu6c phi~n b~g thu6cMethadone: Mai Duc Thuy9. Ban sao b~ng t6t nghi~p trung hQc chuyen nghi~p y S1 da khoa,ban sao b~ngt6t nghi~p THPT: Vo Van Giang10. Ban sao b~ng t6t nghi~p trung hQc chuyen nghi~p duQ'csy,b~ng t6t nghi~pdr;tihQc ky su, Gi~y chUng nh~n di@utri thay the Nghi~n cac chat dr;tngthu6cphi~n b~ng thu6c Methadone, ChUng chi tieng anh B: TrAnMinh Hai11. Ban sao bkg t6t nghi~p cao d~ng di@udu5ng,chUng chi hanh ngh@khamchua b~nh, Giay chUng nh~n diSu tri thay the Nghi~n cac chat dr;tngthu6c phi~n

,..

bfuJg thuoc Methadone.giay chirng nhan khoa dao tao giang vien tuyen tinh v~tu v§.nxet nghiem HIV: Nguyen Thi Ai Van12. Ban sao bang t6t nghiep trung hoc chuyen nghiep duoc sy,chUng nhan daotao di~u tri nghien cac ch§.tdang thuoc phien bang thuoc methadone: NguyenThi Kim Oanh

Noi nhQ.n:- Co sa nr cong b6;

- Liru ho sa.

TL.GIAM DOC

TiSp nhan h6 sa be. sung l~n 01, ngay thang nam Ky nhanNQi dung, tai lieu be. sung: .

TiSp nhan h6 sa be. sung l~n 02, ngay thang nam Ky nhanNQi dung, tai lieu b6 sung: .

TiSp nhan h6 sa be. sung l~n 03, ngay thang nam Ky nhanNQi dung, tai lieu b6 sung: .

CQNG HoA XA HQI CHU NGHiA VI~T NAMDQc l~p - Tl}'do - H~nh phuc

Kon Tum, ngay 18 thang 12nam 2017

DONDENGHICong b&du di~u ki~n di~u tr] nghien chAt dang thuoc phi~n

bingthu&cthayth~

Kinh gui: S6 Y tS tinh Kon Tum.

Co s6 diSu tri Methadone s6 01 thuoc Trung tam Phong, chongHIV/AIDS tinh, dia chi s6 55 Phan KS Binh, phuong Ngo May, thanh pho KonTum, tinh Kon Tum. Dien thoai: 0606.511999.

Can cir Nghi dinh s6 90/20 16/ND-CP ngay 0117/2016 cua Chinh phu guydinh vS diSu tri nghien cac ch~t dang thu6c phien bang thu6c thay thS. Trungtam Phong, chong HIV1AIDS tinh kinh dS nghi S6 Y tS cong b6 du diSu kiendiSu tri nghien ch~t dang thuoc phien d6i voi Co so dieu tri Methadone s6 1.

, Trung tam Phong, chong HIV1AIDS xin giri kern thea Dan nay bQ h6 sagom cac giay to sau:

1 Ban sao quyet dinh thanh l?p cua co quan nha mroc co th~m quyen. x

2Danh sach nhan S\Icua ca s6 diSu tri kern thea ban sao van b~ng xchuyen mon cua timg nhan vien thuQc ca s6 diSu trio

3 Ban ke khai trang thiSt bi cua ca s6 diSu trio x4 Sa do m~t bang cua ca s6 dieu trio x

Ca s6 cong b6 du diSu ki~n diSu tri nghi~n ch~t d~ng thu6c phi~n xin camkSt:

1. Da kiSm tra, ky dong d~u van nhung ph~n lien quan 6 t~t ca cac gi~y tonQp trong h6 sa cong b6 du diSu ki~n diSu tri nghi~n ch~t d~ng thu6c phi~n nayva xac nh?n la day la cac gi~y to hqp phap, nQi dung la dung S\Ith?t. NSu co S\Igia m~o, khong dung S\I th?t ca s6 xin chiu hoan toan trach nhi~m va se bi xuph~t thea quy dinh cua phap lu?t.

2. Dap ung du yeu c~u, diSu ki~n vS ca s6 V?t ch~t, trang thiSt bi va nhanS\Ith\Ic hi~n vi~c diSu tri nghi~n ch~t d~ng thu6c phi~n thea guy dinh.

3. Thong bao cho S6 Y tS tinh Kon Tum khi co b~t Cll thay d6i nao d6ivai h6 sa cong b6 du diSu ki~n diSu tr! nghi~n chat d~ng thu6c phi~n./.

No'inh~n:- Nhu tren;- LUll: VT, PK.

--------- -- - - .

UBND TINH KON TUMSOYTE

CQNG BOA xA HQI CHi] NGHIA vrer NAMDQc I~p - Tv' do - Hanh phuc

86: ~jf!Qf}-SYT Kon Tum, ngcl}jf:thdng 12 ndm 2014

QUYETDINHV~ vi~c thanh I~pCo' so' (li~u tr] Methadone sa 1

thudc Trung tam Phong chang HIV/AIDS tinh Kon Tum

GIAM DOC SO Y TE TiNH KON TUMCan ell' Quy&t dinh s6 06!QD-UB ngay 0] /1111991 cua UBND tinh Kon

Tum v~ vi~e thanh l~p Sa y t~;Can eLI"Quyet dinh s0 26/2008/QD-UBND ngay 16/6/2008 ella UBND

tinh Kon Tum v~ viec ban hanh guy dinh v~ t6 chirc va hoat dong CLIa Sb Y t~tinh Kon Tum;

Can cir Nghi dinh s0 96/2012/ND-CP ngay 15/11/2012 ella Chinh phuguy dinh v~ di8u tri nghien cac ch~t dang thuoc phicn bang thuoc thay thS;Thong tu s0 12/2013/TT-BYf ngay 12/4/2013 cua BQY t~ v§ huong dan chi ti6tthi hanh mot s0 di~u ella Nghi dinh s0 96/20 12!ND-CP cua Chinh phu;

Can cir Quyet dinh 50 13/2009/QD-l1BND ngay 05/0212009 cua UBNDtinh Kon Tum v~ viec ban hanh guy dinh phan cap, uy quyen quan 1)[cong tac t6chuc - can bQ;

Can eLrQuy&t dinh 50 1075/QD-UBND ngay 21110/2014 cua UBND tinhKcm Tum v~ vi~e phe duy~t K~ ho~ch tri~n khai CO' so' di~u trj nghi9n cae chAtd~ng thu5c phi~n b~ng thu6c Methadone tren dja ball tinh Kon 'Tum nam 2015;Cong van s0 2343/SNV-TCBM ngay 24/12/2014 eua Sa NQi V\l v~ vi~c xinthanh l~p CO'so' diSu tri Methadone;

Can Clf K€ ho~ch s0 2608/KH-SYT ngay ] ]/12/2014 ella Sa Y t~ vS vi~ctri6n khai CO' sa di~u trj Methadone t~i Phong leham Da khoa khu VlJC Ngo May,thimh ph0 Kon Tum nam 2015;

Xet d~ ngh! eua Giiun d0c Trung ulm Phcmg eh0ng HIV/AIDS (t~i '1'6-trinh s0 330/TTr-AIDS ngay l6/12/2014) vA Truang phong T[) ch(l'Cdm bQ S()'Y t€,

QUYET BJNH:IJi~u 1. 1'h,lnh l~p CO' sa dichl trj Methadone s0 I thuQc Trung tam Phong

ch5ng HIV/AIDS tinh Kon Tum.CO' sa diSu trj Methadone s0 1 121 cO' so' kham ehu'a b~nh, C() chtl'e nang

kh£Ul1 va di~u t1'1 nghi~n cac eh~t d~mg thu0c phi~n b~ng thu0c thay th~ (thu0c

Methadone) cho nhirng ngiroi nghien C{lC chat dang thuoc phien tren dia ban tinhthea dung guy dinh ella nha mroc.

Co sa di~u tri Methadone s6 1 duoc sir dung con d~u rieng.T1'VSo' lam viec: f)~t tai Phong kham Da khoa khu vue Ng6 May thuoc

Trung tam Y t~ thanh ph6 Kon Tum, dia chi: S[) 55 Ph an K~ Binh, Phuong Ng6May, thanh ph6 Kon Tum, tinh Kon Tum.

£)i~u 2. T6 clnrc va nhiem V\I ella CO' sa dieu tri Methadone s6 1: Thuchien theo guy dinh tai Nghi dinh s6 96/20 12/ND-CP ngay 15/1 1/2012 cua Chinhphu va Thong tu s61212013/TT-BYT ngay 12/412013 cua BQ Y t~.

£)i~u 3. Giam df)c Trung tam Phong chong HIV/AIDS chu trl, ph6i hopv&l Giam d6c Trung tam Y ta thanh ph6 Kon Tum xay dung va trinh Giam d6cSo' Y tS ban hanh Quy ch~ hoat dong cua CO'so di~u tri Methadone s6 1.

£)i~u 4. Truong cac phong va tuO'ng duuug thu<)c S6' Y tS, Giam d6cTrung Him Phong ch6ng HIV IAIDS, Gi{llTI df)c Trung tum Y t~ thEmh ph6 KonTum, Tb11 trucmg cac do'n v~ co lien quan tn.,rc thuQC Sa Y tS va Truang CO' S(1di€u t1'i Methadone s6 1 chiu trach nhi~m thi h2mh quySt djnh DC'1y.

QuySt dlnh nay co hi~u Iv'c thi h::m11k~ tu ngay k)! ban hanhI

NO'i Ilh{in:- Nhlr Bi&u 4;- B0 Y t~ (C\IC PC HIV/AlDS);- UBND tinh;- $6'N¢i V\I;- S&L£)-TBXH~- Cong an tinh;- UBND cac hUY911, thfmh phl);- Phong Y t€ caehlly~n,th,inh pht);- Lanh O<;iO S&Y t€;- Luu: VT. TeCB.~#.11/

Nguy~n Thi Yen

2

SO Y TE TiNH KON TUM'RUNG TAM PHONG, CHONG HIV/AID

CQNG HoA xA HQI CHiT NGHiA VI~T NAMDQc I~p - Tl"I'do - Hanh phuc

Kon Tum, ngay 18 thdng 12nam 2017

BANKEKHAItrang thi~t b] CO' sO-di~u tr] Methadone sa 01

ST Cong ty Nlf(YCsan Nam DO'nvi sa Tinh GhiTen thi~t b] Ky hi~u thi~t bi (MODEL) hron trang Stf

T san xu§t xu§t san xu§t tinh chug dung

I. TAl SAN

1 Ket s~t dung thuoc KS250K2C1 Hoa Phat Vi~t Nam Cai 1M6'i100%

K~ g6 hru benh an (2,0*0,4*2,2)m chia

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M6'ilam 12 6, duoi cira g6, chia lam 2 tang, 100%hang zia cong

3 H~ thong camera quan sat. G6m:

+ 04 Camera ban c~u h6ng ngoai AVC-SI06A Questek+ 0 I dau ghi hinh. Xem qua mang internet, QTX-620SAHD Questekdien thoai, iphone

+ 01 6 cirng hru trfr dir lieu HDD 1000GB BQ 1M6'i

Nh~t Ban 100%Hitachi Touro 1TB 2.5" USB 3.0

+ Phu kien (chan d~ + nguon nuoi)

+ Mi~n phi 10m day tin hieu/ 01 Camera

4May in the, quet the, doc the, va phu kienkern theo, gom:+May in the nlnra CS200e HITI+May doc rna vach Symbol LS 2208 USBkit (Black)

B9 1M6i

+ Ruband mire mau 100%

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5 Bom dinh lieu loai 1-10mICALIBREX 520 Cat. No. CORORE

Thl.lYsr Ccii 1M6i

520.005 X 100%II. CONG Cl} Dl}NG Cl}

1Ban lam viec g6 (1,4 x 0,7 x 0,75)m hang

Vi~t Nam Ccii 3M6i

[gia cong 100%Ban go giao dich phong uong thuoc, hanh M6i

2 chinh, kern tu dVng ket nh6 Vi~t Nam Ccii 2100%

10,5*0,8* 1 02)m hang zia conz

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CONG HoA xA HOI CHU NGHiA VI~T NAMDQc l~p - Tl}' do - H~nh phuc

Kon Tum, ngay 18 thong 12 nam 2017

DANH SACH NHAN SU LAM VIEC TAl CO SODIEU TRJ' THAY THE .

TTVi tri lam vi~e tai CO'

sir di~u tr]

Ch~ dQ lamvi~c tai CO' sir

di~u tr]Cac gi§y tir khac kern theo Ghi chu

1.

2.

3.

Nguyen Van Don

Nguyen Tin

Le Vii ThiSt Hung

Bac sy phu trachchuyen mon ky

thuat

Bac sy phu trachchuyen mon ky

thuat

Nhfm vien Phongkham b~nh

70% thaigran

Kiern nhiern

T02m thaiglan

1. Ban sao co chung thuc tot nghiep bang bacsy, bang chuyen khoa 1 truyen nhiem.2. Ban sao co chirng thirc clnrng nhan da quadao tao, t~p hu~n vS dieu tri nghien ch~t dangthu6c phien.3. Ban sao quyet dinh tuyen dung.1. Ban sao co chung thuc tot nghiep bang bacsy.2. Ban sao co clurng thuc clnrng nhan da quadao tao, t~p hu~n vS diSu tri nghien ch~t dangthu6c phien,3. Ban sao quyet dinh tuySn d\lng.1. Ban, sao co chUng thlJc bang tot nghi~ptrung dip y sI.2. Ban sao co chung thlJc chUng nh~n da quadao t:;to, t~p hu~n vS diSu tri nghi~n ch~t d:;tng

thuoc phien.3. Ban sao hop dong lao dong.1. Ban sao c6 chirng thuc tot nghiep bang totnghiep DiSu duong,

4. Pham Thi Thu HaNhan vien Phong Toan thai 2. Ban sao c6 chimg thuc clnrng nhan dii qua

kham benh gran dao t(;10,t~p hu~n vS diSu tri nghien ch~t dangthuoc phien.3. Ban sao hop d6ng lao dong,1. Ban sao c6 chirng thuc tot nghiep bang totnghiep y sy.

5. Mai Dire Thuy Nhan vien cap phat Toan thai 2. Ban sao c6 clnrng thuc chirng nhan dii quathuoc gran dao t(;10,t~p huan vS dieu tri nghien ch~t dang

thuoc phien.3. Ban sao hop d6ng lao dong.

Nhan vien bao quan 1. Ban sao c6 chimg thuc tot nghiep bang tOt6. Nguyen Thi Kim Oanh Kiern nhiern nghiep DUQ"csy.thu6c 2. Ban sao hop dong lao dong.

1. Ban sao c6 clurng thuc tOt nghiep bang totnghiep DiSu duang.

7. Nguy~n Thi Ai Van Nhan vien tu v~n Toan thai 2. Ban sao c6 chung thvc chUng nh~n dii quaglan dao t(;10,t~p hu~n vS diSu tri nghi~n ch~t d(;1ng

thu6c phi~n.3. Ban sao hqp d6ng lao dQng.1. Ban sao c6 chung thvc tot nghi~p bang tOtnghi~p y sy.

8. Le VUThi~t Hung Nhan vien xet Toan thai 2. Ban sao c6 chung thvc chUng nh~n dii quanghi~m glan dao t(;10,t~p hu~n vS diSu tri nghi~n ch~t d(;1ng

thu6c phi~n. 'f-._

3. Ban sao hqp d6ng lao dQng.

2

1. Ban sao co chirng thuc tot nghiep bang t6tnghiep dai hoc kinh tS .

9. Tnln Minh HaiNhan vien hanh Toan thai 2. Ban sao co chirng thuc chirng nhan dff qua

chinh gran dim tao, tap hu~n vS diSu tri nghien ch~t dangthu6c phien,3. Ban sao hop d6ng lao dong,

10. Tran Minh Hai Nhan vien bao v~ Kiem nhiem 1. Ban sao hop d6ng lao dong,

11. v« Van Giang Nhan vien bao v~Toim thai 1. Ban sao hop d6ng lao dong.gran

3

Kon Tum, ngay 18 thang 12 ndm 2017

CQNG HoA xX HQI CHU NGHiA VI~T NAMDQc l~p - TV do - Hanh phuc

DANHSACHNHANSVLAMVI~C T~I CO SacAp PHATTHU6c

Vi tri lam vi~c tai Ch~ dQlamTT HQ va teD vi~c tai co Cac gi§y to' khac kern theo Ghi chu

co' SO' di~u tr] SO' di~u tri1. B~m sao co chirng thuc bang t6t nghiep,trung dip y si.

1. Mai Dire Thuy Nhan vien cap To~mthai 2. Ban sao co clurng thuc chirng nhan da quaphat thuoc gian dao t9-0,t~p hu~n vS dieu tri nghien ch~t dang

thu<3cphien.3. Ban sao hop dong lao dong,

2. Nguyen Thi Kim Oanh Nhan vien bao Kiem nhiern 1. Ban sao co chimg thuc tot nghiep DSTH.quan thuoc 2. Ban sao hop dong lao dong,

3. ve Van Giang Nhan vien bao ve Toan thai 1. Ban sao hop dong lao dong,glan

4. Tr~n Minh Hai Nhan vien bao ve Kiem nhiern 1. Ban sao hop d6ng lao dcng,